Reynard Ronald Bouknight, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301039177 Issued in MI

Practice address

4650 S Hagadorn Rd Ste 100
East Lansing, MI 48823-5386

Phone

(517) 353-4830

Fax

(517) 432-2134

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Michigan State University College of Human Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sparrow Home Care Home health agency, Lansing, MI, CCN 237164
• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward W Sparrow Hospital Association

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1487154290

  Internal Medicine, MI

  Medicare reassignment Care Compare group NPD
• Michigan State University

  • Family Medicine Physician
  • East Lansing, MI
  • NPI 1861443269

  Internal Medicine, MI

  Medicare reassignment NPD
• Msu Health Care Inc

  • Allergy & Immunology Physician
  • East Lansing, MI
  • NPI 1700418670

  MI

  Medicare reassignment NPD
• Edward W Sparrow Hospital Association

  • Multi-Specialty Clinic/Center
  • Lansing, MI
  • NPI 1023659802
  Care Compare group
• Edward W Sparrow Hospital Association

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1043562465
  Care Compare group
• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare group
• Edward W Sparrow Hospital Association

  • Urology Physician
  • Lansing, MI
  • NPI 1124502851
  Care Compare group
• Edward W Sparrow Hospital Association

  • Family Medicine Physician
  • East Lansing, MI
  • NPI 1124654793
  Care Compare group
• Edward W Sparrow Hospital Association

  • Family Medicine Physician
  • Holt, MI
  • NPI 1437400413
  Care Compare group
• Edward W Sparrow Hospital Association

  • Surgery Physician
  • Lansing, MI
  • NPI 1457744666
  Care Compare group
• Edward W Sparrow Hospital Association

  • Vascular & Interventional Radiology Physician
  • Lansing, MI
  • NPI 1629517420
  Care Compare group
• Edward W. Sparrow Hospital Association

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1033165790
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711

  Hospital

  Care Compare affiliation
• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719

  Hospital

  Care Compare affiliation
• Sparrow Community Care

  • Home Health Agency
  • Lansing, MI
  • NPI 1972536290
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1962444307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-4830",
            "fax_number": "517-432-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S HAGADORN RD STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235386",
            "telephone_number": "517-353-4830",
            "fax_number": "517-432-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUKNIGHT",
        "first_name": "REYNARD",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301039177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821251208",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1347358",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Booth, MA
• Jared Border
• Jessica Borowsky
• Molly Bosom, PHARMD
• La Claire Faye Bouknight, M.D.
• Bove Counseling LLC
• Sarah Elizabeth Bove, LMSW
• Morgan Bowen, DNP, PMHNP-BC
• Jennifer Lynn Box, OTR
• Natalie Denise Boyer, CMT

• All providers in East Lansing, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.